DR. JEFFERY TRAD WADSWORTH (MD, FACS) – Otolaryngology Physician, NPI 1578531216

DR. JEFFERY TRAD WADSWORTH (MD, FACS) is a healthcare provider. based in Tampa, Florida. specializing in OTOLARYNGOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY, SURGICAL ONCOLOGY, MAXILLOFACIAL SURGERY. They hold the professional credentials MD, FACS. They hold a License No. ME129920 (FL). The NPI Number for DR. JEFFERY TRAD WADSWORTH (MD, FACS) is 1578531216

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFERY TRAD WADSWORTH (MD, FACS)
NPI
1578531216
Phone
(813) 745-4673
Address
12902 USF MAGNOLIA DR
Enumeration Date
9 March 2006
Last Update Date
8 May 2026

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
8888602778
Graduation Year
1993 (33 years ago)
PAC ID
8628004942
Group Practice PAC ID
2264337021
Professional Enrollment ID
I20161219000011
Address ID
FL336129416TA12902DRXX400
Telehealth
Yes
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Digital endpointsOther names

732 OTOLARYNGOLOGY in FL

Provider Addresses for DR. JEFFERY TRAD WADSWORTH (MD, FACS)

  • 12902 USF MAGNOLIA DR

    TAMPA, FL 336129416

    Phone: (813) 745-4673

    Fax: (813) 745-5707

    Type: Location

  • PO BOX 198441

    ATLANTA, GA 303848441

    Phone: (813) 745-4673

    Type: Mailing

  • Clifton Road Northeast, Candler Park, Druid Hills, DeKalb County, Georgia, 30329, United States

    ROOM A2303

    ATLANTA, GA 303221013

    Phone: (404) 778-3381

    Fax: (404) 778-4295

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $139.

Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.

Last reported payment date: 2024-02-21 • Largest payer in this snapshot: KLS-Martin L.P. ($139).

Total Amount

$139

General + Research + Ownership

Payments

1

Total payment records

General Amount

$139

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
KLS-Martin L.P.$139
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090513000449IOtolaryngologyGATBD
I20161219000011IOtolaryngologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10673$0
31575Diagnostic exam of voice box using a flexible endoscope6359$0
99205New patient office or other outpatient visit, 60-74 minutes5050$0
View full utilization report →

Insurance plans in this area (ZIP 33612)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264337021View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is DR. JEFFERY TRAD WADSWORTH (MD, FACS) identified in CMS data?
CMS-hosted NPPES data lists DR. JEFFERY TRAD WADSWORTH (MD, FACS) with NPI 1578531216.
Does CMS list DR. JEFFERY TRAD WADSWORTH (MD, FACS) as active?
Yes — DR. JEFFERY TRAD WADSWORTH (MD, FACS) is active in the NPI listing used on this page.
What taxonomy line describes DR. JEFFERY TRAD WADSWORTH (MD, FACS)?
For research purposes, treat DR. JEFFERY TRAD WADSWORTH (MD, FACS) as Otolaryngology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. JEFFERY TRAD WADSWORTH (MD, FACS) based?
DR. JEFFERY TRAD WADSWORTH (MD, FACS) is tied to Tampa, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

DR. EDWARD BRUCE KAMPSEN (M.D.)

Otolaryngology Physician
Kampsen Hearing, 2835, West de Leon Street, Palma Ceia Pines, Hyde Park, Tampa, Hillsborough County, Florida, 33609, United States
NPI: 1952306755

DR. PETER F AGNELLO (MD)

Otolaryngology Physician
SELECT PHYSICIANS ALLIANCE
NPI: 1881690600

DR. JANET L SEPER (MD)

Otolaryngology Physician
SELECT PHYSICIANS ALLIANCE
NPI: 1437155256

NALIN JASHBHAI PATEL (M.D.)

Pediatric Otolaryngology Physician
3000 MEDICAL PARK DR
NPI: 1235135914

DR. PETER B MCKERNAN (MD, DDS)

Otolaryngology Physician
SELECT PHYSICIANS ALLIANCE
NPI: 1306844105

DR. DANIEL A JR. VINCENT (MD, FACS)

Otolaryngology Physician
SELECT PHYSICIANS ALLIANCE
NPI: 1740282623

DR. KEVIN J DONNELLY (MD)

Otolaryngology Physician
SUNCOAST ENT SURGICAL SPECIALISTS
NPI: 1124020557

DR. SANFORD R DOLGIN (MD)

Otolaryngology Physician
SELECT PHYSICIANS ALLIANCE
NPI: 1962494815

JOSEPH B III FARRIOR (MD)

Otolaryngology Physician
1127, Nikki View Drive, Brandon, Hillsborough County, Florida, 33511, United States
NPI: 1629060595